Most Relevant Information
Provider Data
| NPI Number: | 1003183112 |
| Provider Name: | MARINA PAVLOVIC NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F336925 |
Most Important Dates
| Enumeration Date: | 11/18/2011 |
| Last Updated: | 09/28/2012 |
Provider Practice Location
120 MINEOLA BLVD
MINEOLA
NY
115014064
Practice Location Phone/Fax
| Phone: | 5166633000 |
| Fax: |
Provider Mailing Location
83 ASPEN ST
FLORAL PARK
NY
110013429
Provider Mailing Phone/Fax
| Phone: | 9177509465 |
| Fax: |